~ Types of Acne ~
Acne Keloidalis Nuchae
The exact cause of Acne keloidalis nuchae is unknown, but due to in most cases it looking similar to shaving bumps, it is believed that it is caused by curved hair follicles which puncture the scalp and results in in-growing hair which in turn causes an inflammation, which usually leads to infection and then the development of keloidal lesion.
Acne keloidalis nuchae primarily affects men of African descent, it takes the form of lesions on the back of head or neck which can drain pus, itch or be painful on the affected area(s)
How to Treat Keloidalis Acne
Treatment would typically include firstly topical steroid creams for example tretinoin gel, after these Intralesional corticosteroids which are injected to flatten keloids although some loss of pigmentation occurs, for 12-18 months.
For more severe forms, some it would likely be Cryotherapy which involves freezing the keloidal with nitrogen, again some loss of pigmentation can occurs, for 12-18 months.
If all those options do not work or you don’t want to opt for them, then there are only two options:
1) Surgery where the keloids are surgically removed, a steroid is injected at regularly and a steroid cream is applied to mitigate the risk of re-occurrence.
2) Laser Scar Removal therapy – some forms of lasers can be used to destroy keloids in Acne Keloidalis Nuchae.
As with most forms of Acne, Acne Keloidalis Nuchae is best if it is treated early; once scarring develops it becomes very difficult to treat.
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